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Individual

JORDYN WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
14500 JUANITA DR NE, KENMORE, WA 98028-4966
(425) 602-3000
Mailing address
5925 40TH CT, MERIDIAN, MS 39307-2932

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
09/05/2023
Last updated
09/05/2023
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